| NPI | 1598983686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 3776) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071022623) |
| 103TC0700X Psychologist, Clinical (Licence: MI 6301016737) | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2026-03-18 |